Nation, Neal Jared
Nation, Neal Jared is an individual health care provider with primary practice located at 6750 N 19Th Ave , Phoenix AZ 85015-1127. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nation, Neal Jared can be contacted via phone (602) 242-5741.Contact Information
Primary practice address
6750 N 19Th Ave
Phoenix AZ 85015-1127
Phone: (602) 242-5741
Fax: (602) 242-5742
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 6299 | Arizona |
Profile Details
NPI number | 1639152184 |
---|---|
LBN Legal business name | Nation, Neal Jared |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639152184 | NPPES |
Arizona | Other | 6299 | STATE LICENSE |
Arizona | MEDICAID | 884107 | STATE LICENSE |
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